Your browser doesn't support javascript.
loading
Disparity in Crohn’s disease activity between home and clinics is associated with unscheduled hospital visits due to disease flares
The Korean Journal of Internal Medicine ; : 902-910, 2018.
Artigo em Inglês | WPRIM | ID: wpr-716632
ABSTRACT
BACKGROUND/

AIMS:

E-health technologies have been implemented for the management of Crohn’s disease (CD). We aimed to identify differences between patient activities at home and at routine clinic visits using a web-based self-reporting CD symptom diary (CDSD) and to determine the impact of this disparity on clinical outcomes.

METHODS:

Patients with CD from three tertiary hospitals were invited to assess their symptoms at least once a week using CDSD. We identified patients who showed disparities in disease activity (high activity at home but normal at the next hospital visit) and evaluated clinical outcomes of these patients such as unscheduled visits due to flares using Kaplan-Meier analyses.

RESULTS:

One hundred and forty-three patients recorded their symptoms weekly for at least 3 consecutive months and were included. Forty-eight patients (33.6%) showed disparate disease activities between at home and at the next outpatient clinic visit. The cumulative risk of unscheduled visits was significantly higher in this disparity group than in the concordant group (p = 0.001). Disparity in activity (p = 0.003), and anti-tumor necrosis factor use (p = 0.002) were independent risk factors of unscheduled visits due to disease flares.

CONCLUSIONS:

Disparity in disease activity is considerable in CD patients and is related to the risk of unscheduled hospital visit.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença de Crohn / Fatores de Risco / Centros de Atenção Terciária / Assistência Ambulatorial / Instituições de Assistência Ambulatorial / Necrose Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: The Korean Journal of Internal Medicine Ano de publicação: 2018 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença de Crohn / Fatores de Risco / Centros de Atenção Terciária / Assistência Ambulatorial / Instituições de Assistência Ambulatorial / Necrose Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: The Korean Journal of Internal Medicine Ano de publicação: 2018 Tipo de documento: Artigo